Provider First Line Business Practice Location Address:
ATLANTA VAMC (141)
Provider Second Line Business Practice Location Address:
1670 CLAIRMONT RD
Provider Business Practice Location Address City Name:
DECATUR
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-321-6111
Provider Business Practice Location Address Fax Number:
404-728-5014
Provider Enumeration Date:
06/28/2006